Late in the video (46:50) Dawe fields a question from Compassion & Choices CPO Mickey MacIntyre about educating patients on death trajectories, “soft landings” and end of life choices (some of which education will happen via PCORI), but ends up saying the public needs to be educated about what’s coming when “this starts to get serious” and CMS mandates a new model of care (ACOs for example) — “that’s something that really disrupts the status quo and that’s when [he trails off – but implies that’s when people will start complaining]. “There are many potential losers here; not everyone can win when health care costs come down.”

Near the end of the video Dawe chuckles at the mention of IPAB, and explains that SGR legislation will do some of what IPAB was supposed to do.

And of course he couldn’t leave the podium without a final whine about Sarah Palin.